title: Rhabdomyosarcoma of spermatic cord in a 65-year-old man presenting as a groin swelling.
abstract: A 65-year-old man presented with a swelling in the right groin of 6 months duration. The swelling was associated with dull aching pain and the patient reported of increase in size of the swelling during lifting of heavy weights. The swelling was 6×5 cm, hard in consistency, mobile and there was no impulse of cough. Ultrasonography showed a solid mass measuring 5.3×1.5×5.2 cm arising from the spermatic cord. High-inguinal orchiectomy was performed. Histopathology revealed rhabdomyosarcoma (RMS) of the spermatic cord. Patient was advised adjuvant chemotherapy but he refused. Spermatic cord RMS is a rare tumour derived from the undifferentiated mesoderm. It is most often observed in children and adolescents. It rarely appears after the second decade of life. It usually manifests as a painless, firm to hard mass in the inguinal canal or scrotum. Radical high-inguinal orchiectomy is the treatment of choice.
authors.affiliation: Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India. drraghu81@yahoo.co.in
authors.forename: Raghunath
authors.initials: R
authors.lastname: Prabhu
authors.forename: Arjun
authors.initials: A
authors.lastname: Natarajan
authors.forename: Rajgopal
authors.initials: R
authors.lastname: Shenoy
authors.forename: Kuldeep
authors.initials: K
authors.lastname: Vaidya
mesh_terms: D000368:Aged; D004487:Edema / Q000473:pathology* / Q000601:surgery; D005834:Genital Neoplasms, Male / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006119:Groin / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D012208:Rhabdomyosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013085:Spermatic Cord / Q000473:pathology*; D016896:Treatment Outcome